Organization
GROSSKOPF ORTHOPEDIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W. GROSSKOPF M.D. (DOCTOR)
(630) 402-2128
Entity
Organization
Contact information
Practice address
3805 E MAIN ST, SUITE G, SAINT CHARLES, IL 60174-2487
(630) 402-2128
(630) 397-7814
Mailing address
3805 E MAIN ST, SUITE G, SAINT CHARLES, IL 60174-2487
(630) 402-2128
(630) 397-7814
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036066604
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C44349
UPIN
IL
Enumeration date
04/26/2011
Last updated
04/10/2017
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